Organization and financial support of healthcare for public employees in the Russian Federation: a review of departmental health services in the Ministry of Defense

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Abstract

The review outlines the main legislative aspects of organization and financial support of health services for public institution employees inRussia. Specifically, the review describes the legal framework and regulations of healthcare for servicepersons and other staff within the Ministry of Defense of theRussian Federation. We discuss the financing mechanisms of the departmental health service in the Ministry of Defense. Conclusions are made on the need to improve the legislative base of financial and administrative support of healthcare for the military and associated personnel.

Keywords

About the Authors

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Research Financial Institution of the Ministry of Finance of the Russian Federation, Federal State Budget Institution Russian Federation

Daria V. Lukyantseva – MD, PhD, Leading Researcherat the Center of Healthcare Financing, Financial Research Institute, Ministry of Finance of the Russian Federation, Chief Specialist, Center for Healthcare Quality Assessment and Control, Ministry of Healthcare of the Russian Federation;

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Research Financial Institution of the Ministry of Finance of the Russian Federation, Federal State Budget Institution Russian Federation

Lyubov S. Melnikova – MD, Leading Researcher at the Research Financial Institute of the Ministry of Finance of the Russian Federation;

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Research Financial Institution of the Ministry of Finance of the Russian Federation, Federal State Budget Institution;
Russian Presidential Academy of National Economy and Public Administration, Federal State Educational Institution of Higher Professional Education Russian Federation

Denis V. Fedyaev – Researcher at the Center for Health Technology Assessment of the Russian Presidential Academy of National Economy and Public Administration, Researcher at the Center for Healthcare Funding at the Finance Research Institute, Ministry of Finance of RF;

Research Financial Institution of the Ministry of Finance of the Russian Federation, Federal State Budget Institution Russian Federation

Vitaliy V. Omelyanovsky – MD, PhD, Professor, Director of the Center for Technology Assessment in Healthcare, Institute of Applied Economic Research of RANEPA, Head of the Healthcare Finance Center, Research Financial Institute of the Ministry of Finance of the Russian Federation;

Tel.: +7(499)9569528;

Researcher ID: P-6911-2018; Scopus Author ID: 6507287753;

3-2 Nastasyinsky pereulok, Moscow 127006

References

1. Bezdenezhnyh T. P., Lukyantseva D. V. Current practice of organizing and financing the departmental healthcare system for the military in developed countries: a review. FARMAKOEKONOMIKA. Sovremennaya farmakoekonomika i farmakoepidemiologiya / FARMAKOEKONOMIKA. Modern pharmacoeconomics and pharmacoepidemiology. 2018; 11 (2): 68-85 (in Russian). DOI: 10.17749/2070-4909.2018.11.2.068-075.

4. Federal Law of 21.11.2011, No. 323-ФЗ “On the basis of the protection of public health in the Russian Federation”. Official Internet portal of legal information (in Russian) [Electronic resource] URL: http://www.pravo.gov.ru. Accessed: 07.03.2018.

5. Federal Law No. 58-FZ of May 27, 2003 (as amended on 05/23/2016) “On the System of State Service of the Russian Federation” The original text of the document was published in the publications “Parliamentary Newspaper”, N 98, 05.31.2003, “Rossiyskaya gazeta”, No. 104, 05.31.2003,“ Sobranie zakonodatel’stva RF”, 02.06.2003, N 22, Art. 2063 (in Russian).

6. Order of the Ministry of Finance of the Russian Federation dated December 28, 2010 No. 190n (as amended on December 29, 2011) “On approval of the Guidelines on the procedure for applying the budget classification of the Russian Federation”. “Finansovaya gazeta”, N 7, 02.17.2011 (in Russian).

7. Decree of the President of the Russian Federation of 05/04/2016, No. 157 (as amended on 09/30/2016) “Questions of the Federal Service of Forces of the National Guard of the Russian Federation” (in Russian). [Electronic resource] URL: http://www.pravo.gov.ru. Accessed: 05.04.2016.

13. Decree of the President of the Russian Federation of 07.08.2004, No. 1013 (as amended on 27.02.2018) “Questions of the Federal Security Service of the Russian Federation”. The original text of the document was published in the edition “Collection of Legislation of the Russian Federation”, 09.08.2004, N 32, Art. 3314 (in Russian).

16. Presidential Decree of January 14, 2011 No. 38 (as amended on December 22, 2016) “Issues of the Activities of the Investigative Committee of the Russian Federation” (together with the “Regulations on the Investigative Committee of the Russian Federation”). “Collection of the legislation of the Russian Federation”, 01.24.2011, N 4, Art. 572 (in Russian).

17. Order of the Investigative Committee of the Russian Federation No. 4 of January 15, 2011 “On Establishing the Jurisdiction of Specialized Investigative Bodies of the Investigative Committee of the Russian Federation”. Legal database “Consultant+” (in Russian).

20. Resolution of the Government of the Russian Federation of September 26, 1994 No. 1093 (as amended on December 29, 2016) “On the procedure for reimbursement of expenses related to the provision of medical care, sanatorium-resort treatment and rest of military personnel and citizens dismissed from military service, resort treatment of their families, as well as medical and psychological rehabilitation of servicemen”. The original text of the document was published in the publication “Sobranie zakonodatel’stva RF”, 03.10.1994, N 23, Art. 2570 (in Russian).

21. Sura M.V.,Omelyanovskiy V.V.,Avksentyeva M.V.,Fedyaev D.V., Derkach E.V., Ignatyeva V.I. Analysis of the dynamic changes in the volume standards and financial expenses on inpatient care within the framework of implementation of the program of government guarantees. Meditsinskie tekhnologii. Otsenka i vybor. 2015; 3 (21): 60-69 (in Russian).

For citation:

Lukyantseva D.V., Melnikova L.S., Fedyaev D.V., Bezdenezhnykh T.P., Omelyanovskiy V.V. Organization and financial support of healthcare for public employees in the Russian Federation: a review of departmental health services in the Ministry of Defense. PHARMACOECONOMICS. Modern pharmacoeconomics and pharmacoepidemiology. 2018;11(4):81-91.
(In Russ.) https://doi.org/10.17749/2070-4909.2018.11.4.081-091

D. V. Lukyantseva
Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Research Financial Institution of the Ministry of Finance of the Russian Federation, Federal State Budget Institution Russian Federation

Daria V. Lukyantseva – MD, PhD, Leading Researcherat the Center of Healthcare Financing, Financial Research Institute, Ministry of Finance of the Russian Federation, Chief Specialist, Center for Healthcare Quality Assessment and Control, Ministry of Healthcare of the Russian Federation;

10-5 Khokhlovskii pereulok, Moscow 109028;

3-2 Nastasyinsky pereulok, Moscow 127006

L. S. Melnikova
Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Research Financial Institution of the Ministry of Finance of the Russian Federation, Federal State Budget Institution Russian Federation

Lyubov S. Melnikova – MD, Leading Researcher at the Research Financial Institute of the Ministry of Finance of the Russian Federation;

10-5 Khokhlovskii pereulok, Moscow 109028;

3-2 Nastasyinsky pereulok, Moscow 127006

D. V. Fedyaev
Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Research Financial Institution of the Ministry of Finance of the Russian Federation, Federal State Budget Institution;
Russian Presidential Academy of National Economy and Public Administration, Federal State Educational Institution of Higher Professional Education Russian Federation

Denis V. Fedyaev – Researcher at the Center for Health Technology Assessment of the Russian Presidential Academy of National Economy and Public Administration, Researcher at the Center for Healthcare Funding at the Finance Research Institute, Ministry of Finance of RF;

10-5 Khokhlovskii pereulok, Moscow 109028;

3-2 Nastasyinsky pereulok, Moscow 127006;

82 Vernadskogo prospect, Moscow 119571

T. P. Bezdenezhnykh
Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation Russian Federation

Tatiana P. Bezdenezhnykh – Leading Specialist;

10-5 Khokhlovskii pereulok, Moscow 109028

V. V. Omelyanovskiy
Research Financial Institution of the Ministry of Finance of the Russian Federation, Federal State Budget Institution Russian Federation

Vitaliy V. Omelyanovsky – MD, PhD, Professor, Director of the Center for Technology Assessment in Healthcare, Institute of Applied Economic Research of RANEPA, Head of the Healthcare Finance Center, Research Financial Institute of the Ministry of Finance of the Russian Federation;

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